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Home My WebLink About20444D - Forbes Ci „ CAMA AND DREDGE AND FILL ;. � �Q4 _� GENERAL PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7H , ,2000 Applicant Name A(✓CE r=nie \ 0w S �/ Mn"( J 21 . Phone Number (9/0 ) St- 63S7 Address c21L( S. 1-C4wv nit City tk,R ,(,t-PtSd,11- ••e►4.t-<-1 State N C Zip .> Project Location (County,State Road,Water Body,etc.) ?'�-'� , Iq, >�t�2,.7� tw14'YMCK i� ti 1� C 4-44s/n�1 , /vew -+14AIa✓e r2 On , /� Type of Project Activity IMVf,i+tA$ r` --p � ti s-��t P, P2 Ai,n P/0 A) OGK 5 YS n'1 • A/( (C)n.t);i') J'1 4r 7j, ,3-o w 5.//4/1 4--1/G'I Y PROJECT DESCRIPTION SKETCH (SCALE: /IL3D ' ) Pier(dock) length f\ '3 ,"�S C,HAti -- ^4--.-- Groin length � number y // 3 P;11c t beRPYnU Bulkhead length Q max.distance offshore sal Basin,channel dimensions k � r— Le Y11 11! t o cubic yards FM% U Boat ramp dimensions I r Other y / A''X30' P/oat /� / c r> i�' / LI This permit is subject to compliance with this application, drawing and attached general and specific conditions. Ar / / J Jr violation of these terms may subject the permittee to a f , % / imprisonment or civil action; and may cause the permit to be applicant's signature come null and void. -aft--)'-‘- This permit must be on the project site and accessible to the permit officer's signature permit officer when the project is inspected for compliance.The applicant certifies by signing this permit that 1) this pro- q`" C _ f q 7•• a 6- ject is consistent with the local land use plan and all local issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no '/1,0 00C) objections to the proposed work. attachments UENERAL PERMIT COMPUTER FORM APPLICANT NAME: tJ 4 (XQ l)R 5 ADDITIONAL NAMES: ,Mvv.y (J 3 t 1_- .AEC DESIG: E r ( I • DEVELOP AREA:_U.L_ PROJ DESC:-p -) J Will only take 6) (Will only take 1) rORK: t'S 4 (Will only take 4) 1 MAINT: (Will only take a) 1( 13) IMP: 1nl c9 �L( (will only take 6) ACTION EXPIRATION • DREDGE&FILL REQUIRED: CAMA MAJOR DEVEL,REQUIRED: 6— FROM :INTRRCORSTGL RERLTY 1999.03-2S 10:29 it979 P.03/04 . JAC SIGN OF AS N'!' RI COT L NAGEMENT ' FARIAN PROPERTY QWNgR NO FZCATION WRIVEB- RM Name Of Individual Applying For Permit: Address Of Property: _VA C c �d eS I �„_ 1r 4 v, �14 - _. - i__ (Lot or Street #, Street �o Road, City &NC cou County) Y hereby certify that I referenced own property adjacent to the . defer Property. The individual applying for this above- ed to me as shown on the attache3- drawing the development permit has they yld b pro provided with this roposing. A e riptio} or drawing, . P nt letter. with dimensions, "..) �Y have ---.� ho objections to this proposal. If you h-ve obie tons to wha • • Divieion f . C astz1 M nace ants being oroo s2d.• p1Ease writ the W'1*�i cton ors taro irla ardi 1 D ive E tens d vs of reca ' 405 ca 910 • 5-34 0 wi n o his n tice, o z a obiectio if you have can r ' snonse s co xdEr ' the ame zG ifi d by Csrti Ed Mail q RAIDER SECTION I understand that a pier, dock, mooring oat house, lift or sandbags must be set pilings, brea'�watEr, from myarea - back a minimum distance ofb15' of riparian access_unless waived b , you muss ,,,initial the by me.appropriate you Wan to waive the setback (If,below. ) k propits blank 0 . I do wish to waive the l5'setback requirement. _________ I ela_azt wish to waive the 15'setback requirement. 1k Sion Lure at Print N e _�5 $ � ll �., • A Te E^none Number fr Area CodeQ1�NI� DIVISION OF COASTAL MANAGEMENT • ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM Name Of Individual Applying For Permit: 0},✓6-e %a�r� Address Of Property: 2 / y S -��,� i..,�A • (4_ 2 14' .4!" (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above- - referenced property. The individual applying for this permit has described to me as shown on the attached - drawing the development they are proposing. A description or drawing, . with dimensions , should be provided with this letter. / ✓ I have no objections to this proposal. If you have objections to what is being or000sed ,• please write the Division of - Coastal Manacement, . 127 Cardinal Drive Extension , Wilmincton , North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no oblection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15 ' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below. ) /0; I do wish to waive the 15 'setback requirement. I do not wish to waive the 15'setback requirement. ,e..zA / i_nature bate ` • nf4i e Thy,✓ /SAL Print Name NF3 Telephone Number With Area Code ��H • . 4.$ '.` ,M J�� t �!w�x A+Mrhjytiy+}l p. t* in K w ..{ • >,r �•M./.4 W.. ` - ., WW - _ ...,Na.�.... J.µ4J�� V• .+k.wWT r..»++.n" '��wk r1y♦M.i1NM KX, �' veal �*}..�µ I�YII��•� 'w+i}4x� .w q.�.,."y.r....;x.' "C y.w • ��, "` 4 Y •,..444'0♦ 4.4, igr0"`/'NCDu 38�1595. . s�.1.A .Y.r a.'T ▪ 4•,. .WM... Y'`r: It• i` �r�++r.t, '♦u «.,Wni�"rjz '"e Fi�O��SVILL� AVE 910�58 835Z " +♦M� _ .�.. *" :4 ` 1a., , y ,, w .y R� ` ,,�, ,,, iI. I^LMINQtON NC 28403 "" � _ M� `"rw..a, .+ , .ro:1 y,w n .n: v+'rIv sdir..x .,mot . ...** . v S,l .`� `�`V.. f"` +"r•y'��"�ri ^^",...NI. .. 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